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3 ROCKDALE AVENUE - BUILDING INSPECTION 3 ROCKDALE :AVENUE BAY STATE ADJUSTMENT SERVICE 0 P.O. BOX 338 �+��a• ANDOVER, MASSACHUSETTS 01810-0338 ASSNIAT N WSfIR911{ NO ftM kI 4'.•f FAX # 508-474-0336 �o it Andover: 475-8111 Lowell: 458-2542 Haverhill: 374-9282 Lynn: 598-5050 9N / CITY FIRE DEPARTMENT 6-COMMISSIONER or < OARD OF HEALT r INSPECTOR OF BUILDING BOARD OF SELECTMEN CITY OF SALEM ) ( , CITY OF SALEM CITY HALL ) ( CITY HALL SALEM, MA ) ( SALEM, MA RE: INSURED: RAYMOND & BONNIE MUISE /l PROPERTY ADDRESS: 3 ALE AVE. POLICY NO. : COMPANY: CAMBRIDGE MUTUAL LOSS OF: WINDSTORM DATE: 12/11 /92 FILE OR CLAIM NO. : 2-1558-X Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000. 0 cause Massachusetts General Law, Chapter 143, Section 6 be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to a captioned insured, location, policy number, date of loss and claim or file number. WILLIAM J. MCGETTRICR, JR. , ADJUSTER Title On this date, I caused copies of this notice to be sent to the persons named above, at the addresses indicated above, by first class mail. J Signature ate ..Speed Letter© 44-902 111 Speed Letter,11111/ llllljllJl�ll�/l 1111111/loll '1111 To � J/�D V From a i Subject V MESSAGE 199-2- 1 q93 3 l�-�7waG �aT d <f� 7, s`s due a -99 Date / —6' n1 Signed REPLY N.1.1.111 Date Signed WilsonJones RECIPIENT—RETAIN WHITE COPY R.ETIJ` PINK COPY GRAYLINE FORM 04802 9-PARI E1993•PRINTED IN USA 1186